Narayana Health is one of the best diabetes hospitals in India for diabetic screenings and diabetes or prediabetes treatment. Our team of expert diabetologists and trained medical staff offer high-quality care for the various stages and types of diabetes.
The modern sedentary lifestyle has contributed to the rapid rise of the disease. It is estimated that today more than 62 million Indians suffer from diabetes and the numbers are projected to touch 100 million by 2035 if not provided proper treatment for diabetes.
Diabetes types and their treatment
When you have diabetes, your body won’t make enough insulin or can’t use the insulin it makes effectively. Diabetes can be of different types.
Type 1 diabetes
An autoimmune disease that destroys the cells in the pancreas that produce insulin. The primary treatment for type 1 diabetes is insulin. Usually, four types of insulin are used.
- Rapid-acting insulin that gets to work within fifteen minutes and lasts for about three to four hours
- Short-acting insulin can last three to four hours higher than rapid-acting insulin and start to work within thirty minutes
- Intermediate-acting insulin start working within one to two hours and their effects can stay up to twelve to eighteen hours
- Long-acting insulin takes the longest to function and can last for twenty-four hours or more
Type 2 diabetes
In this disease, your body becomes resistant to insulin resulting in sugar build-up in the blood. It can be managed by diet and exercise, but if that doesn’t work to lower your blood sugar, you must go for medication. The following drugs can be prescribed to lower the blood sugar level.
- Alpha-glucosidase inhibitors like acarbose and miglitol
- DPP-4 inhibitors like linagliptin, saxagliptin and sitagliptin
- Biguanides to reduce the glucose production of the liver
- Glucagon-like peptides. Examples include dulaglutide, exenatide and liraglutide
- Meglitinides, such as nateglinide and repaglinide
- Sulfonylureas – glyburide, glipizide and glimepiride
- SGLT2 inhibitors that release more glucose into the urine
- Thiazolidinedione, such as pioglitazone and rosiglitazone
It occurs when you have abnormally higher levels of blood sugar, but not high enough for type 2 diabetes.
Gestational diabetes is caused during pregnancy by insulin-blocking hormones produced by the placenta. So, it’s important to monitor the blood sugar levels several times a day. Sometimes, dietary changes and exercises may not be able to reduce the high sugar levels. In such a case, they may need insulin to lower their blood sugar.
Key aspects of Diabetes treatment at NH include,
- Certified educators to offer diabetes counselling
- Dieticians to provide customised meal plans
- A Multidisciplinary approach which ensures expert care for all diabetic complications, which includes,
- Foot care - Screening for high-risk cases and management of foot ulcers.
- Eye care - Care for Diabetes Retinopathy, Muscular Disorders, Cataracts, and Glaucoma.
- Kidney Care - Care to prevent or delay the development of diabetic kidney disease.
- Weight management - Services include appropriate nutrition and robotic Bariatric surgery.
- Diabetes in Children - The paediatric, nutrition and other allied departments at Narayana Health lend their expertise in treating and caring for minors with the disease.
State-of-the-art medical infrastructure and equipment for Diabetes treatment including-
- Dedicated Diabetic clinics
- Modern laboratory services
- Continuous glucose monitoring
- Insulin pump services
One needs to see an endocrinologist when diabetes is new to them; it has become tough to manage; the existing treatments have failed to work, or if they have developed complications from diabetes. They will still have to consult their primary doctor, who will work together with the endocrinologist for the treatment.
Diabetes has no cure, but it can remain in remission. This means that there won’t be any signs and symptoms of diabetes, although one still has the disease.
Diabetes can be managed with therapies, medications, and lifestyle changes. Consulting a capable doctor and following the treatment options can be quite promising in putting diabetes into remission.
On the first visit, your endocrinologist will ask you certain questions to accurately diagnose your symptoms. The questions usually cover your current medications, any history of hormonal problems in the family, existing medical conditions and allergies, and dietary habits. They also perform a checkup of the patient’s heart rate, blood pressure, as well as the condition of their skin, hair, teeth, and mouth. Blood and urine samples may be taken.
A person with diabetes might require hospitalisation in the following situations – if their metabolic complications due to diabetes are life-threatening; they have a chronic poor metabolic control that demands close monitoring; uncontrolled or newly discovered insulin-requiring diabetes during pregnancy; newly diagnosed diabetes in children and adolescents, or intensive insulin regimens.
The FPG Test, the OGTT, and the Random Plasma Glucose Test are commonly used to diagnose diabetes.
The FPG or fasting plasma glucose test is performed when the person hasn’t eaten anything in the last eight hours, at least. It is used to detect prediabetes also.
The OGTT measures the blood sugar after a person has gone eight hours without eating and two hours after having a glucose-containing beverage. In a random plasma glucose test, blood sugar is measured irrespective of when someone had their meal.